A home health nurse's client caseload is ethnically diverse. Which interventions show understanding of cultural variables?
Standard Text: Select all that apply.
1. Discussing cultural preferences for herbs and spices and possible alternatives when drug interactions are possible
2. Assessing the client's response to acupuncture for pain
3. Discussing the client's beliefs regarding treatment
4. Notifying the health care provider of the client's intentions to consult with a medicine man for spiritual guidance
5. Removing the client's collection of herbs to decrease the risk of an adverse effect when taken with Western medicine
Correct Answer: 1,2,3
Rationale 1: It is important to assess the cultural use of herbs and spices and determine if there may be any interactions with prescribed medications.
Rationale 2: The nurse can assess the client's response to acupuncture and interpret the effects on prescribed treatment with respect for the client's culture.
Rationale 3: Cultures view health and wellness in different ways. An understanding of the client's cultural beliefs allows the nurse to provide better support and guidance.
Rationale 4: As long as the medicine man does not "prescribe" any herbs, the nurse does not have to discuss this with the provider.
Rationale 5: The nurse need not remove the herbs but rather should discuss possible adverse effects when the herbs are mixed with prescribed medications.
Global Rationale: It is important to assess the cultural use of herbs and spices and determine if there may be any interactions with prescribed medications. The nurse can assess the client's response to acupuncture and interpret the effects on prescribed treatment with respect for the client's culture. Cultures view health and wellness in different ways. An understanding of the client's cultural beliefs allows the nurse to provide better support and guidance. As long as the medicine man does not "prescribe" any herbs, the nurse does not have to discuss this with the provider. The nurse need not remove the herbs but rather should discuss possible adverse effects when the herbs are mixed with prescribed medications.
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